Individual
CRAIG DAVID BLINDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(212) 342-2139
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 305-9876
(212) 342-2139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
228885
MA
207Q00000X
Family Medicine Physician
236923
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
236923
NY
Other
Enumeration date
08/02/2006
Last updated
02/18/2016
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